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510(k) Data Aggregation

    K Number
    K161272
    Date Cleared
    2017-05-18

    (378 days)

    Product Code
    Regulation Number
    870.1220
    Reference & Predicate Devices
    Predicate For
    N/A
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Medline ReNewal Reprocessed Supreme and Response Electrophysiology Catheters can be used in the evaluation of a variety of cardiac arrhythmias from endocardial and intravascular sites.

    Device Description

    Medline ReNewal Reprocessed St. Jude Supreme and Response Electrophysiology Catheters are commonly placed at the high right atrium, right ventricular apex and His bundle, and in the coronary sinus, and are used for electrogram recording and cardiac stimulation during diagnostic electrophysiology studies. The electrophysiology catheters are manufactured in various fixed curves and electrode spacings for electrophysiological mapping for the evaluation of a variety of cardiac arrhythmias from endocardial and intravascular sites.

    AI/ML Overview

    Here's a breakdown of the acceptance criteria and the study proving the device meets them, based on the provided text.

    It's important to note that this document is a 510(k) summary, which focuses on demonstrating substantial equivalence to a predicate device rather than proving independent efficacy or safety through clinical trials typically associated with AI/software devices. Therefore, the "study" described herein is a series of performance tests to show the reprocessed device functions similarly to the original predicate device. It does not involve human readers, AI assistance, or complex ground truth establishment in the way AI/ML devices do.


    Acceptance Criteria and Device Performance Study for Medline ReNewal Reprocessed Supreme and Response Electrophysiology Catheters (K161272)

    This document describes the regulatory submission for reprocessed electrophysiology catheters, not an AI or software device. The "acceptance criteria" and "study" are therefore focused on the physical and functional performance of the reprocessed medical devices, demonstrating that they are substantially equivalent to their original, legally marketed predicate devices.

    1. Table of Acceptance Criteria and Reported Device Performance

    The document lists various performance tests conducted to demonstrate substantial equivalence. It implies that the test results met the internal acceptance criteria for each test, thereby proving the reprocessed device performs as intended and is equivalent to the predicate. Specific numerical acceptance criteria values are not explicitly stated in this summary document, but the statement "found to be substantially equivalent to the predicate device based on the following tests" implies successful completion against pre-defined criteria.

    Test CategorySpecific Tests ConductedReported Device Performance
    Functional PerformanceSimulated use and artificial soilingMet acceptance criteria (implied by "found to be substantially equivalent")
    Bond strength (tensile testing)Met acceptance criteria (implied)
    Torsional strengthMet acceptance criteria (implied)
    Leakage currentMet acceptance criteria (implied)
    Catheter/handle joint flexibility and continuity (flex fatigue)Met acceptance criteria (implied)
    Electrode adherenceMet acceptance criteria (implied)
    Shaft flexibilityMet acceptance criteria (implied)
    Tip bucklingMet acceptance criteria (implied)
    Direct current resistanceMet acceptance criteria (implied)
    Impedance at 5 kHzMet acceptance criteria (implied)
    Corrosion resistanceMet acceptance criteria (implied)
    CleaningProtein, total organic carbon, and endotoxinsMet acceptance criteria (implied)
    Visual inspection under magnificationMet acceptance criteria (implied)
    Cleaning performance qualificationMet acceptance criteria (implied)
    BiocompatibilityCytotoxicityMet acceptance criteria (implied)
    SensitizationMet acceptance criteria (implied)
    IrritationMet acceptance criteria (implied)
    Acute systemic toxicityMet acceptance criteria (implied)
    PyrogenicityMet acceptance criteria (implied)
    Hemocompatibility (hemolysis, thrombogenicity, & complement activation)Met acceptance criteria (implied)
    OtherPackaging and shelf life validationMet acceptance criteria (implied)
    Sterilization validation (bioburden testing; ethylene oxide and ethylene chlorohydrin residuals)Met acceptance criteria (implied)
    Product stabilityMet acceptance criteria (implied)

    2. Sample Size Used for the Test Set and Data Provenance

    • Sample Size: The document does not specify the exact number of reprocessed catheters used for each test. Medical device testing typically involves statistically significant sample sizes to ensure reliability, but these specific numbers are not disclosed in this summary.
    • Data Provenance: The testing was performed internally by the manufacturer, Medline ReNewal, based in Redmond, Oregon, USA. The data is prospective in the sense that the tests were conducted specifically for this 510(k) submission on reprocessed devices. The "origin" of the devices themselves would be from healthcare facilities where they were initially used, then collected by Mecline ReNewal for reprocessing.

    3. Number of Experts Used to Establish Ground Truth for the Test Set and Their Qualifications

    Given this is a physical medical device (catheter) rather than a diagnostic AI/ML device, the concept of "ground truth" and "experts" in the context of interpreting medical images is not directly applicable. The "ground truth" here is established through objective engineering and laboratory measurements against predefined specifications and comparisons to the performance of the predicate device. The experts involved would be engineers, scientists, and quality assurance personnel with expertise in medical device testing, materials science, biocompatibility, and sterilization, rather than clinical experts like radiologists. The number and specific qualifications of these personnel are not detailed in this public summary.

    4. Adjudication Method for the Test Set

    Not applicable in the context of physical medical device performance testing. Results are generated through objective measurement and comparison to specifications, not through human interpretation requiring adjudication.

    5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study

    Not applicable. This is not an AI/ML or diagnostic imaging device. Its function is to perform electrophysiology procedures, and the study focuses on its physical and functional equivalence to a predicate catheter.

    6. Standalone (Algorithm Only Without Human-in-the-Loop Performance) Study

    Not applicable. This is not an algorithm. The "performance" is of the physical device itself.

    7. Type of Ground Truth Used

    The "ground truth" is based on objective, quantitative measurements of the catheter's physical and functional properties (e.g., tensile strength, leakage current, resistance, biocompatibility characteristics, cleanliness) compared against:

    • Engineering specifications.
    • Performance characteristics of the original, new predicate device.
    • Relevant industry standards (e.g., for sterilization, biocompatibility).

    8. Sample Size for the Training Set

    Not applicable. This is not an AI/ML device requiring a training set.

    9. How the Ground Truth for the Training Set Was Established

    Not applicable.

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